摘要:

AbstractFour hundred and sixty patients with various severe disease processes were admitted to the intensive‐therapy unit of a general hospital under the care of the anaesthetic and surgical staff in the 5‐year period 1965‐9 inclusive. The problems presented by these cases, their prognosis, and the lessons learnt in their management are reported, and the implications for similar units in the future are disc

ISSN:0007-1323    

DOI:10.1002/bjs.1800600102

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractCrystallographic studies have recently shown that calcium palmitate is the fourth most abundant crystalline constituent of gall‐stones. In a study of the gall‐stones from 31 consecutive patients undergoing operation at University College Hospital, London, in 1970, 2 patients were found whose stones contained calcium palmitate as the sole crystalline constituent, and a stone from a third patient had this compound as the major component. Three other patients had small beads of calcium palmitate in stones consisting predominantly of cholesterol. Some points of interest concerning these stone‐formers are rep

ISSN:0007-1323    

DOI:10.1002/bjs.1800600103

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractA case of sigmoid actinomycosis is described and the cases of abdominal actinomycosis presenting at the Manchester Royal Infirmary over the past 20 years are reviewed. The whole problem of abdominal actinomycosis is discussed, with special reference to the sites of infection and mode of treatment. The relevant literature is reviewed.

ISSN:0007-1323    

DOI:10.1002/bjs.1800600104

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractThree cases are reported in which unabsorbable suture material used to ligate the cystic duct at chole‐cystectomy was subsequently found within the lumen of the extrahepatic bile‐ducts. In 2 cases well‐formed gall‐stones having a central nucleus of either silk or nylon were removed from the common bile‐duct. In the third case two braided nylon sutures were found within the stump of the cystic duct. The use of absorbable suture material for ligating the cystic duct is therefore re

ISSN:0007-1323    

DOI:10.1002/bjs.1800600105

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractBecause of the poor condition of most granulating wounds and the unpredictable and frequently unsatisfactory results of closed skin‐grafting, 160 open skin‐grafting operations were performed and studied in Egypt and Jordan in order to develop a reliable procedure for use in developing countries. A simple, economical, and successful open grafting method was established. The results are given together with the details of 4 illustrative cases. Important technical points are mentioned. The necessity of the application of open grafts on patients in developing countries is stressed and the advantages of the author's method are discus

ISSN:0007-1323    

DOI:10.1002/bjs.1800600106

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractFour cases of axillary and brachial artery occlusions which caused claudication in the arm and hand are presented. They demonstrate that the effects of reduced arterial supply are equally disabling in the hand as in the leg. Axillary and brachial artery occlusions can be treated by vein‐graft by‐pass, in a similar way to arterial disease in the leg, with excellent resu

ISSN:0007-1323    

DOI:10.1002/bjs.1800600107

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractThe effect of galvanic stimulation of the calf muscles during surgical operations on the development of postoperative deep‐vein thrombosis was assessed using125I fibrinogen in 64 patients over 40 years of age undergoing major surgery. Alternate legs were stimulated in alternate patients using the opposite leg as a control. No significant difference in the incidence of deep‐vein thrombosis was observed either in the immediate postoperative period or la

ISSN:0007-1323    

DOI:10.1002/bjs.1800600108

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractThirty‐one cases of carcinoma of the ampulla of Vater and duodenum have been classified on the basis of pathological criteria.Two types of tumour were discernible. Nine were polypoid papillary adenocarcinomas occurring at the ampulla of Vater; 19 were adenocarcinomas without a papillary pattern, of which 4 were duodenal tumours and 15 were ampullary. There were 3 ampullary tumours of mixed type. The carcinomas without a papillary structure were more invasive, more often associated with abdominal pain, more frequently misdiagnosed, and were associated with a higher mortality‐rate.The data were insufficient to draw firm conclusions as to the prognosis but the clinical behaviour was related to the pathology of the tumours.Lesions in the ampullary region were associated with jaundice which was often intermittent. Lesions outside the ampullary area presented early with vomiting of pyloric type but without jaundice.The importance of a high index of suspicion in dealing with these lesions and the value of barium‐meal examinations are emphasized.It is noted that pancreaticoduodenectomy for ampullary carcinoma has a mortality of less than 25 per cent if performed by an experienced surgeon and can be considerably lower in clinics specializing in this condition.We suggest that the pathological classification of these tumours used in this paper may form the basis for further investigations into the diagnostic and prognostic problems which these tumours present.This classification of ampullary tumours is a factor to be considered in assessing the indications for pancreaticoduodene

ISSN:0007-1323    

DOI:10.1002/bjs.1800600109

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractCases of primary osteosarcoma of the lower femur treated by through‐femur amputation and reported to the Bristol Bone Tumour Registry have been reviewed from the viewpoint of local recurrence.There were 2 recurrences within the stump and 4 cases with metastases in the ilio‐inguinal region.It is argued that these figures do not justify the routine use of hip disarticulation with its necessarily cumbersome prosthesis in the primary treatment of these tumo

ISSN:0007-1323    

DOI:10.1002/bjs.1800600110

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractThe technique of subtotal colectomy with caecoproctostomy is described, together with clinical details of 6 patients in whom it was performed. An important feature of the operation is retention of the ileocaecal sphincter which helps to maintain almost normal bowel function.

ISSN:0007-1323    

DOI:10.1002/bjs.1800600111

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY